Doctor Name: | CYNTHIA RECTOR |
NPI Number: | 1548221534 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | R16890 |
Business Practice Address: | 199 State Hightway 50 Pecos, NM - 875520710 |
Business Phone Number: | 5057576482 |
Business Fax Number: | 5057576869 |
Mailing Address: | 199 State Hightway 50, PECOS |
State: | NM |
Postal Code: | 875520710 |
Phone Number: | 5057576482 |
Fax Number: | 5057576869 |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 03/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R16890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |